- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,033.81 / $13,276.50 / $20,497.80
| Facility | | $9,033.81 | $13,276.50 | $20,497.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,610.82 / $37,831.26 / $48,501.61
| Facility | | $26,610.82 | $37,831.26 | $48,501.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,167.23 / $19,657.39 / $24,863.04
| Facility | | $10,167.23 | $19,657.39 | $24,863.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,033.81 / $13,579.60 / $21,714.30
| Facility | | $9,033.81 | $13,579.60 | $21,714.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,564.94 / $18,066.16 / $27,447.76
| Facility | | $10,564.94 | $18,066.16 | $27,447.76 |